scholarly journals A Novel Minimally Invasive Retro Rectus Repair of Ventral Hernia

The Physician ◽  
2021 ◽  
Vol 7 (1) ◽  
pp. 1-11
Author(s):  
Anil Kumar ◽  
Meghana Taggarsi ◽  
R C Subhash
Keyword(s):  
Minimally Invasive ◽  
Hernia Repair ◽  
Hospital Stay ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Length Of Hospital Stay ◽  
Clinical Effectiveness ◽  
Invasive Approach ◽  
Post Operative Pain ◽  
Prospective Comparative Study

Background Ventral hernia repair is one of the common general surgical procedures. A novel eTEP technique has been developed where in a mesh is placed in retro muscular plane through minimally invasive approach. There is scarcity of data on its effectiveness as compared to conventional Laparoscopic IPOM hernioplasty. Aims and Objectives We aim to introduce our innovative Kumar-Subhash’s modified 3 port eTEP technique for ventral hernia repair and compare its clinical effectiveness with conventional IPOM repair.  Methods A prospective comparative study was undertaken at Devagiri Hospital, Bangalore, India from January 2017 to December 2019. 30 patients were included in the study (12 in eTEP group and 18 in IPOM group) based on predefined inclusion and exclusion criteria. Patients were followed up to 30 days post-operatively. The outcomes were compared with respect to postoperative pain, length of hospital stay and early postoperative complications. Results Baseline characteristics and presenting complaints were comparable for both the groups. The mean pain score on POD 1 in eTEP group was 3, and 1 on POD 7 as compared to 7 and 3 in IPOM group on POD1 and 7 respectively, which was statistically significant. Patients in eTEP group had a shorter length of hospital stay (LOS). None of the patients had any complications related to the novel technique. Conclusions Kumar-Subhash’s modified 3 port eTEP technique is a novel and easy approach for laparoscopic repair of ventral hernia with significantly less post-operative pain and LOS with an additional cosmetic advantage for patients.

The contribution of specific enhanced recovery after surgery (ERAS) protocol elements to reduced length of hospital stay after ventral hernia repair

2019 ◽  
Vol 34 (10) ◽  
pp. 4638-4644 ◽  
Author(s):  
Walker Ueland ◽  
Seth Walsh-Blackmore ◽  
Michael Nisiewicz ◽  
Daniel L. Davenport ◽  
Margaret A. Plymale ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Hospital Stay ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Length Of Hospital Stay ◽  
Eras Protocol

Impact of body mass index on minimally invasive ventral hernia repair: an ACS-NSQIP analysis

Hernia ◽  
2019 ◽  
Vol 23 (5) ◽  
pp. 899-907 ◽  
Author(s):  
L. Owei ◽  
R. A. Swendiman ◽  
S. Torres-Landa ◽  
D. T. Dempsey ◽  
K. R. Dumon
Keyword(s):  
Body Mass Index ◽  
Minimally Invasive ◽  
Hernia Repair ◽  
Ventral Hernia ◽  
Body Mass ◽  
Ventral Hernia Repair ◽  
Acs Nsqip

Minimally invasive ventral hernia repair: apply or save?

2020 ◽  
pp. 75
Author(s):  
N.L. Matveev ◽  
A.M. Belousov ◽  
V.A. Bochkar ◽  
S.A. Makarov
Keyword(s):  
Minimally Invasive ◽  
Hernia Repair ◽  
Ventral Hernia ◽  
Ventral Hernia Repair

Laparoscopic intracorporeal rectus aponeuroplasty (LIRA technique): a step forward in minimally invasive abdominal wall reconstruction for ventral hernia repair (LVHR)

2018 ◽  
Vol 32 (8) ◽  
pp. 3502-3508 ◽  
Author(s):  
Julio Gómez-Menchero ◽  
Juan Francisco Guadalajara Jurado ◽  
Juan Manuel Suárez Grau ◽  
Juan Antonio Bellido Luque ◽  
Joaquin Luis García Moreno ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Hernia Repair ◽  
Abdominal Wall ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Abdominal Wall Reconstruction

scholarly journals Postoperative Pain After Robot-Assisted Laparoscopic Ventral Hernia Repair

2021 ◽  
Vol 8 ◽  
Author(s):  
Per Lindström ◽  
Göran Rietz ◽  
Åsa Hallqvist Everhov ◽  
Gabriel Sandblom
Keyword(s):  
Postoperative Pain ◽  
Hernia Repair ◽  
Hospital Stay ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Robot Assisted ◽  
Potential Benefits ◽  
Onlay Mesh ◽  
Da Vinci Si

Background: Robot-assisted ventral hernia repair, when performed correctly, may reduce the risk for pain and discomfort in the postoperative period thus enabling shorter hospital stay. The aim of the present study was to evaluate postoperative pain following robot-assisted laparoscopic repair. The approach was selected after an intraoperative decision to complete the repair as: (1). Transabdominal Preperitoneal Repair (TAPP); (2). Trans-Abdominal RetroMuscular (TARM) repair; or (3). Intraperitoneal Onlay Mesh (IPOM) repair depending on anatomical conditions.Methods: Twenty ventral hernia repairs, 8 primary and 12 incisional, were included between 18th Dec 2017 and 11th Nov 2019. There were 8 women, mean age was 60.3 years, and mean diameter of the defect was 3.8 cm. The repairs were performed at Södersjukhuset (Southern General Hospital, Stockholm) using the Da Vinci Si Surgical System®. Sixteen repairs were completed with the TAPP technique, 2 with the TARM technique, and 2 as IPOM repair.Results: Mean hospital stay was 1.05 days. No postoperative infection was seen, and no recurrence was seen at 1 year. At the 30-day follow-up, fifteen patients (75%) rated their pain as zero or pain that was easily ignored, according to the Ventral Hernia Pain Questionnaire. After 1 year no one had pain that was not easily ignored.Conclusion: The present study shows that robot-assisted laparoscopic ventral hernia is feasible and safe. More randomized controlled trials are needed to show that the potential benefits in terms of shorter operation times, earlier discharge, and less postoperative pain motivate the extra costs associated with the robot technique.

Decision Making in Ventral Hernia Repair: Minimally Invasive Surgery or Open Approach

2018 ◽  
Vol 227 (4) ◽  
pp. S98
Author(s):  
Kathryn Schlosser ◽  
Michael R. Arnold ◽  
Javier Otero ◽  
Tanushree Prasad ◽  
Paul D. Colavita ◽  
...  
Keyword(s):  
Decision Making ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Hernia Repair ◽  
Ventral Hernia ◽  
Invasive Surgery ◽  
Ventral Hernia Repair ◽  
Open Approach

scholarly journals Using inferior epigastric vascular anatomical landmarks for anterior inguinal hernia repair

BMC Surgery ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Weiming Li ◽  
Yijun Li ◽  
Lili Ding ◽  
Xiongzhi Chen ◽  
Qingwen Xu ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Hospital Stay ◽  
Inguinal Hernia Repair ◽  
Foreign Bodies ◽  
Length Of Hospital Stay ◽  
Operation Time ◽  
Complication Rates ◽  
Anatomical Landmarks ◽  
Post Operative Pain

Abstract Background Inferior epigastric vascular anatomical landmarks for anterior inguinal hernia repair is an alternative surgical procedure. We present our experience and outcome of the way. Methods We performed a retrospective analysis of 230 patients who received anterior tension-free hernia repair between May 2016 to May 2017. Among these cases, 120 were performed using the traditional transinguinal preperitoneal (TTIPP) technique while 100 were performed using the vascular anatomic landmark transinguinal preperitoneal (VALTIPP) technique. Between these two groups, we compared the operation time, length of hospital stay, complication rates, and the visual analog scale (VAS) for pain at 2 days, 3 months, and 6 months after surgery. Results Surgery was well-tolerated in both groups with no significant hemorrhage or complications. The operation times for the VALTIPP and TTIPP groups were 42.52 ± 9.15 and 53.84 ± 10.64 min (P < 0.05), respectively. Ten patients in the VALTIPP group and 17 patients in the TTIPP group reported sensations of foreign bodies (P < 0.05). The VAS pain score in VALTIPP patients at 2 days (4.0 ± 0.5), 3 months (1.0 ± 0.3), and 6 months (0.9 ± 0.3) were significantly lower when compared with those of TTIPP patients (5.3 ± 0.9 at 2 days, 1.8 ± 0.4 at 3 months, and 1.1 ± 0.1 at 6 months, p < 0.05). No statistically significant differences were found in age, gender, BMI, hernia type and location, follow-up period, incidence of post-operative seromas, recurrence rate, or length of hospital stay. Conclusion Anterior inguinal hernia repair using inferior epigastric vascular anatomical landmarks may lead to reduced operation times, reduced sensations of foreign bodies, and reduced post-operative pain. This technique is simple, practical, and effective in the management of inguinal hernias.

Impact of Minimally Invasive Ventral Hernia Repair Approach on Enterotomy Rates: An Americas Hernia Society Quality Collaborative Analysis

2020 ◽  
Vol 231 (4) ◽  
pp. S99-S100
Author(s):  
Jonah D. Thomas ◽  
Aldo Fafaj ◽  
Samuel J. Zolin ◽  
Charlotte M. Horne ◽  
Steven Rosenblatt ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Hernia Repair ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Collaborative Analysis

Primary Fascial Closure During Minimally Invasive Ventral Hernia Repair

JAMA Surgery ◽  
2020 ◽  
Vol 155 (3) ◽  
pp. 256 ◽  
Author(s):  
Karla Bernardi ◽  
Oscar A. Olavarria ◽  
Mike K. Liang
Keyword(s):  
Minimally Invasive ◽  
Hernia Repair ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Fascial Closure ◽  
Primary Fascial Closure

Laparoscopic Ventral Hernia Repair versus Open Hernioplasty

2021 ◽  
Vol 15 (10) ◽  
pp. 2602-2603
Author(s):  
Muhammad Javed Shakir ◽  
Imran Sadiq ◽  
Ruqqia Naheed Khan ◽  
Muhammad Akhlaq Ahmed ◽  
Syeda Samina Ashfaq ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Hernia Repair ◽  
Hospital Stay ◽  
Ventral Hernia ◽  
Open Surgery ◽  
Ventral Hernia Repair ◽  
Clinical Information ◽  
Laparoscopic Ventral Hernia Repair ◽  
Usual Procedure ◽  
The Mean

Background: Ventral hernia repair is the most common and usual procedure which applies various treatment approaches. Aim: To compare the laparoscopic ventral hernia repair surgery with open surgical procedure. Study design: Prospective comparative study Place and duration of study: Department of Surgery Unit-II, Fatima Memorial Hospital, Shadman Lahore from 1stJuly 2016 to 1st March 2021. Methodology: Ninety six patients who underwent either open or laparoscopic surgery. They were divided in two groups. Group A (n=40) was of open surgery and Group B (n=56) was laparoscopic. Patients’ demographic and clinical information was documented, postoperative pain, wound healing, duration of hospital stay, and recurrence rate was also recorded. Results: There were 43 males and 53 females. The mean age of patients was 52.2±14 years. The mean fascial defect size was 6.94±0.3 cm2. Majority of patients were obese. The postoperative study analysis revealed no wound infections and reduced hospital stay in laparoscopic operated patients than open surgery operated cases. Conclusion: Laparoscopic surgery is much safer and more efficient than open surgery protocol for ventral hernia repair in context to wound infection and postoperative complications. Keywords: Ventral hernia, Laparoscopic, Open surgery

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